How much rates vary
Facilitymedian $145 · 10th to 90th $83 to $933Professionalmedian $110 · 10th to 90th $71 to $191
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $85.11 Median $4,265.80 Typical High $7,943.28 | Facility | None | $85.11 | $4,265.80 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $123.03 | Professional | None | $67.61 | $85.11 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $660.69 | Facility | None | $67.61 | $85.11 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $190.55 | Professional | None | $74.13 | $109.65 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $194.98 | Professional | None | $89.13 | $128.82 | $194.98 |
Moda Health Setting Facility Modifier None Typical Low $85.11 Median $169.82 Typical High $6,606.93 | Facility | None | $85.11 | $169.82 | $6,606.93 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $177.83 | Professional | None | $70.79 | $100.00 | $177.83 |
Pacific Source Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $190.55 | Facility | None | $109.65 | $144.54 | $190.55 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $660.69 | Facility | None | $67.61 | $104.71 | $660.69 |
Providence Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $194.98 | Professional | None | $75.86 | $120.23 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,174.90 | Facility | None | $776.25 | $1,023.29 | $1,174.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $158.49 | Professional | None | $100.00 | $144.54 | $158.49 |
United Setting Facility Modifier None Typical Low $151.36 Median $295.12 Typical High $4,897.79 | Facility | None | $151.36 | $295.12 | $4,897.79 |
United Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $204.17 | Professional | None | $81.28 | $123.03 | $204.17 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $36.31 Typical High $50.12 | Professional | 52 · Reduced service | $34.67 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $14.45 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $53.70 Typical High $75.86 | Professional | 54 · Surgery only | $52.48 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.72 Typical High $15.14 | Professional | 55 · Aftercare only | $10.47 | $10.72 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.24 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.08 | $7.24 | $10.00 |
Moda Health Setting Professional Modifier 50 · Both sides Typical Low $52.48 Median $269.15 Typical High $562.34 | Professional | 50 · Both sides | $52.48 | $269.15 | $562.34 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $50.12 | Professional | 52 · Reduced service | $34.67 | $34.67 | $50.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $14.13 | $19.95 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $52.48 Typical High $75.86 | Professional | 54 · Surgery only | $52.48 | $52.48 | $75.86 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $15.14 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $15.14 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $10.00 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $1,174.90 Median $1,548.82 Typical High $1,737.80 | Facility | 50 · Both sides | $1,174.90 | $1,548.82 | $1,737.80 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 8th of 51
$120
AK $214TX $67.61
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.